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Individual

STEPHEN ONDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 395-8166
Mailing address
1 PRESTIGE PL, STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1306
(937) 522-7626

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.002035RX
OH
363AS0400X
Surgical Physician Assistant
Primary
50002035
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0085236
OH
Enumeration date
04/26/2006
Last updated
01/07/2021
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